Snotty wealthy woman over the phone who was coming in for a peritoneal dialysis consultation with the PD nurse. She patronized me throughout the entire 5 minutes we spoke. I wanted to choke her when she came into the office!

Yep.
Pt peed on floor on purpose because he did not feel like walking 6 steps to the bathroom. After I gave him heck he told me he wanted to see the doctor.
I told the doctor what he did. She yelled at him too!

Yep.
Pt peed on floor on purpose because he did not feel like walking 6 steps to the bathroom. After I gave him heck he told me he wanted to see the doctor.
I told the doctor what he did. She yelled at him too!

I had the same thing happen. Urinal in reach, 40 something, alert and oriented patient with no mobility impairments and mad because I wouldn't hold his penis in the urinal for him. Guess who got to clean the floor? Here ya go buddy...some towels to wipe it up and a firm discussion about what is and isn't appropriate behavior in a hospital. He sure had some explaining to do when his wife and the physician walked in and found him sopping up urine from the floor. Discharge orders were quickly written and he got sent on his merry way.

Oh yes I have lost it with not only a patient but with family members as well. They need to be told and I was doing the telling. Why on earth do people have to act like idiots is beyond me but they do.

I've not only lost it with patients, I've lost it with visitors, physicians, and staff. That's what almost 30 years in nursing will do to you.

I only lost it on a visitor twice, the first time the pt husband kept following me around and almost into patient rooms to tell me his wife was in pain. I knew and had medicated and called MD. I also had a pt with a chest tube c/o pain and needed to assess him and medicate him. I finally told him to stop following me around and that I have already addressed his wife's needs. I also lost it on her docs that night for not consulting pain service as I requested.

I lost it on a pt daughter after being repeatedly told not to suction her mom on the vent she kept it up. She said that she does it all the time, and since she is a nurse too it is ok. Management told her it was not and threatened to have her booted if she kept it up.

I have lost it on docs who wont listen or keep asking for unreasonable things.

Oh yeah. In LTAC, a little patient looked, talked and kinda acted like Gollum. I don't know how I didn't lose it sooner. He would ask for all the drugs, I would give him all the drugs, and the nausea drugs, and he'd complain of nausea five minutes later. Ok. I would give ginger ale, and mind you both his hands worked. So he got mad regularly and dumped it in his own lap then would call for a diaper change. No really? So I made him clean himself up, and then sit in the chair and I changed his bed, then helped him back to a clean bed and said no thank you, I am not giving you another ginger ale just so you can pour that one out too.

So I went to nurse station and heard him talking on the call light about how I refused to medicate him. This was after a month of being a total... expletive deleted... he regularly bit his hands to cause skin tears so I would have to do wound care, etc. I just stormed down there, and told him off and apparently all could hear. I told him all about the boy who cried wolf and how he DIED and deservedly so, and how I could tolerate a lot but buddy you are not allowed to lie. This was basically the mean mama that he acted like he'd never encountered before in his life. All the limits were set down at that point and I did not deviate from them, then I insisted on keeping him in my assignment for the week, just so he knew I meant business. I had to hand him off to the DON the next morning and I thought, oh god I'm gonna get fired. So I told her what had transpired and that I wasn't too professional about it. She said, it's about time someone told that one off. Good job. I did a little dance when he was transferred out.